| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,548 |
6,688 |
$380K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
119 |
111 |
$227K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,118 |
1,944 |
$191K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
594 |
562 |
$64K |
| 59025 |
Fetal non-stress test |
1,901 |
1,288 |
$63K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
781 |
689 |
$52K |
| 76830 |
Ultrasound, transvaginal |
441 |
426 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
577 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
514 |
494 |
$40K |
| 76801 |
|
286 |
270 |
$29K |
| 59426 |
|
31 |
24 |
$13K |
| 59425 |
|
63 |
52 |
$13K |
| G9001 |
Coordinated care fee, initial rate |
255 |
251 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
165 |
151 |
$2K |
| 81025 |
|
274 |
262 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$1K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
65 |
59 |
$270.15 |
| 87210 |
|
17 |
16 |
$66.09 |
| 87220 |
|
17 |
16 |
$30.60 |
| 83986 |
|
16 |
15 |
$21.70 |